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Derick Allen Eidson
Mental Health Counselor in Ada, Oklahoma
NPI 1811339294

Derick Allen Eidson is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Derick Allen Eidson practices in Ada, OK. The NPI Number for Derick Allen Eidson is 1811339294 and holds a License No. (Oklahoma).

The current practice location address for Derick Allen Eidson is 19108 County Road 3560, Ada, OK and can be reached out via phone at 580-421-1800.

Location: 19108 County Road 3560, Ada, OK, 74820-0177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811339294
Provider Name
Derick Allen Eidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
19108 County Road 3560, Ada, OK, 74820-0177
Phone Number
580-421-1800
Fax Number
Provider Enumeration Date
07/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19108 County Road 3560
City
Ada
State
Oklahoma
Zip
74820-0177
Phone Number
580-421-1800
Fax Number
person
Provider Business Mailing Address Details
Address
19108 County Road 3560
City
Ada
State
Oklahoma
Zip
74820-0177
Phone Number
580-421-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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